05-064 (2) 6 1 /
r
adjust the total project budget if payment is delayed. Critical component orders are placed upon
receipt of the second payment.
TERMINATION
The Customer reserves the right to cancel this contract if the rebate application request is denied. If
(PV) receives a written contract termination request from the Customer due to incentive denial, (PV)
will return in -full within 60 days of receiving a written termination notice the value of advanced
payments made to (PV) beyond the first payment amount, to secure availability and pricing of critical
system components (e.g., PV modules and inverters). The initial payment is non - refundable and
refunding of additional payments will not be honored if the components have already been installed.
(PV) is committed to providing a high quality product and service and we look forward to working with
you on your renewable energy project. Please contact Jon Child at 413 - 772 -8788 with questions or
comments regarding this proposal.
Since et
io ee alley roVoltaics Cooperative
0/0 ,,
• Jonathan Child
Project Manager
Attachments: A - PV Array Sketch
General Terms and Conditions
AUTHORIZATION TO PROCEED
I hereby agree to the Project as set out above, and I agree to pay the contract price according to the
Terms of Payment. I further agree to the Terms and Conditions attached hereto as a part of this
Proposal and Agreement. I hereby authorize Pioneer Valley PhotoVoltaics Cooperative to proceed with
the above - referenced Project in accordance with this Agreement. A check for the First Payment is
enclosed and I am returning this Agreement within 21 days of the Proposal date.
(le" C.etfEA/ ii /r /ll
Printed Name Date
Signature Title
APPROVAL TO SERVE AS AUTHORIZED AGENT
I hereby authorize Pioneer Valley PhotoVoltaics Cooperative, or its designated representative, to
obtain required permits for this project on behalf of the owner and to begin work of obtaining a grant
on my behalf.
69 Y c Co .(/ /112.1/1/
Printed Name Date
Signature / Title
Proposal and Agreement Page 7 of 8
Joseph and Cathy Cohen, November 9, 2011
ROOF - MOUNTED SOLAR ARRAY DEAD WEIGHT LOADING CALCULATION
OVERVIEW
Project Name Cohen Residence
Address Leeds, Massachusetts
The flushed to the roof solar array being installed on the south facing roof of the residence, consists of one array of 28
photovoltaic modules and a roof mounting system.
The mounting system includes a series of supports that represent discrete points of contact with the roof in a staggered
pattern. Each support is secured a structural wood screw (GRKfasterner) designed with an ultimate withdrawal value
capacity of 2272 pounds.
ROM STRUCTURE Ct? ETS
Rafters 1.Roofing Material
Height 8 inches Light: YES Heavy:
Width 2 inches 2.Roof pitch: 45 degrees
Rafter spacing 16 inches on center
SOAR NIODULE ARRAY WEIGHT CALCULATION 3. Horizontal Span: 12'
Photovoltaic modules Units Unit Wt. Total Wt. Comments
Solar module(s) I 28 1 41 1148 Sunpower 320 watt
Subtotal 1148
Mounting System Units Unit Wt. Total Wt.
SolarMount Unirac STD Rails DK 2388 0.064 152.8 Lbs /inch
M210 Enphase 0 4.40 0.0 Lbs /inch
L feet 61 0.25 15.3 supports include all hardware
L feet on S5! Clamp 0 0.54 0.0 supports include all hardware
L feet on 3/8 hanger bolt 0 0.58 0.0
Eco- fasten with 8 screws and flashing 0 2.69 0.0 supports include all hardware
Stand -off with roof boot (single support) 61 1.28 78.1 and roof boots
Stand -off with roof boot (double support) 0 1.70 0.0
Stand -off with hanger bolt (single support) 0 0.43 0.0
Quickmount 0 0.75 0.0 with hanger bolt & hardware
Quickmount with doubble support 0 1.03 0.0 with hanger bolt & hardware
Splice bar kits 12 0.50 6.0
Module and rail grounding 2 1.75 3.5
Module universal end clips 0 0.25 0.0
Module mounting clips 66 0.16 10.7
Subtotal 266.4
JTotal solar module array weight 1414.4 Ibs
POINT LOAD CALCULATION
Number of support stand -off 61
Total solar module array weight 1414.4
Point load 1 23.2 Ibs
DISTRIBUTED LOAD CALCULATION
Photovoltaic module array area Array 1 Array 2 Array 3
Module width (horizontal) 41.18 inches 41.18 inches 41.18 inches
Module length (vertical) 61.39 inches 61.39 inches 61.39 inches
Intermodule spacing 1 inches 1 inches 1 inches
Number of module columns 9 10 _ _ 9
Number of module rows 1 1 1
Array area 161 square feet 179 square feet 161 square feet
Total array area 143 square feet
Distributed load 2.8 Ibs / sf 1
PRODUCED BY AN AUTODESK EDUGATONAL PRODUCT
J"�af ters
Ne'
2 1 on r
sec red to wall double
top plate by 4 toenailed
12d nails.
Sunpower 320w module
61.39 x 41.18 x 1.81 Unirac SolarMount standard rail dK SolarMount splice bar with 4 self- tapping screws ProSolar Fastjack
with Oatey solar flashing Mounting supports are
secured to the roof into
t. _--. - -. -. - _. - -.. -. _. - __. - _- _- -- ---- -- 42315/16 -. - -. -.... -___ -__ -_ -.. _. t -- the rafters via
- -- - -- -_ - - - - - - -- 255 3/16 - - - -- - - -- - -- - GRKfasterner RSS 7x80
_... 1269!16 -+ -._ mate
w I capacity
3" long
withdraw
co - ® __ -- - 0 - 3 . 3 6 ■ e _ _. — - - x .. of 2272 pounds.
I Mounting supports are
N , :i
1 installed in a staggered
N i � pattern to evenly
,r ' i distribute load between
�� i the rafters as shown. ___ I
■ _i _ 1
m
' — B --- -1- ' • T li I , m ■ ® c e e e = e o a
{
1 co
j m
M �. 1: �� °
r7
x
m
g • � - -e -- a - = e - - -- - - e — - - � ; ® - — ® - -- � - e - -- _ ® � o
M
a z
m
e e e e e e a — e o - o
S
7
cs)
co
m
c ,
: il
w �. - - - _ - 883/8 _, . r .. - -___ _.__ .. .- 297 3!8- _.... - -__ __.- -
Roof line Cohen Residence
Solar array layout
Northampton
ix Massachusetts
A..
1712/2011 1 / 1
cc
w
N
0
LSnUOSd TVNOLLVDn03 )S30011'0 NV AB 03Dn0ONd
Roof pitch is 12/12
Drawing not to scale / 1 Ridge
Board 2 x 8
/
2x12, 16" O.C. Rafter `"!/ 39
' Collar Tie 2 X 6, 16" O.C.
/ / , X
/ \
/ Collar tie fPstened with 24 1/2"
, minimum 6 nails 12d
Birdsmouth Cut / .`
/ /./ Ceiling Joist 2 X 10, 16" O.C.
/
/
/ Ceiling joists, rafters „91/
A tened with 6 nails
!'� 12d minimum
./ ' Double Top Plates "
12 0 off
'' Wall Stud floor
AERIAL SITE PLAN
COHEN - NORTHAMPTON, MA
PV array to be installed on eastern end of south - facing roof of the residence.
Inverter and production meter to be located in the basement.
Ft* uw A'�yys P 0 0
4 4
AUdubon Rd 4
..
PV Array Site
(Eastern end of roof)
Utility Meter
'
Si. feat 25 n
�ci2011 1.iicrnsotiCorporation Pictumet EirriL Eye. ;er.ic&s Inc..
2C I I .:i croscft Prr, acv Lecar -r:,„ertise E9n n ns no!ut+ona ctut our ann Heil 1 a sa ..:a
,
Ir
1 rwa� #�awr aaw •a rw araAr•
� awrw�wwrrrMw aft �.
' w►�'arvr.ws "a'wwrr -•i r r'rwi: w r r r awa wi+::
w r
. 7ti..
r .. r
ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/1'YYY)
12/21/2011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sj, AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 15 WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
Webber & Grinnell Ins. Agency, Inc. PHONE 413. 586 A/C,No}: 413. 586.6481
8 North King Street E-MAIL
ADDRESS:
Northampton, MA 01060 PRODUCER 00020081
CUSTOMER ID N:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED INSURER A: Peerless /Peerless 24198
Pioneer Valley Photovoltaics Cooperative, Inc. INSURERB: Excelsior /Peerless 11045
311 Wells Street INSURER C :
Suite B INSURER D:
Greenfield, MA 01301 INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: Exo 2013 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER (MM /DDfYYYY} (MMIDDIYYYY)
GENERAL LIABILITY CBP8378623 01/01/2012 01/01/2013 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES 100, 000
PREMISES (Ea occurrence)
CLAMS-MADE X OCCUR MED EXP (Any one person) $ 5,000
A PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 2,000,000
X POLICY PRO- LOC $
JECT
AUTOMOBILE LIABILITY BA8372626 01/01/2012 01/01/2013 COMBINED SINGLE LIMIT $
(Ea accident) 1,000,000
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
B X SCHEDULED AUTOS
PROPERTY DAMAGE
X HIRED AUTOS (Per accident)
X NON -OWNED AUTOS
X UMBRELLA LIAB OCCUR CU8377126 01/01/2012 01/01/2013 EACH OCCURRENCE $ 2,000,000
EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2,000,000
A
DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION WC8376525 01/01/2012 01/01/2013 X roRVLMITS O ER
AND EMPLOYERS' LIABILITY Y I N
B ANYI PR OPRIETO R / ARTNE JEXECUTIVE N N f A E L EACH ACCIDENT $ 500,000
(Mandatory in NH) E L. DISEASE - EA EMPLOYEE $ 500,000
If yes, C describe under E.L. DISEASE - POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS below r
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Project: 50kW and Less
Massachusetts Clean Energy Technology Center, the System Owner, & as applicable the Host Customer
as Additional Insured with respects to General Liability as per the terms and conditions of the policy
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Massachusetts Clean Energy Technology Center AUTHORIZED REPRESENTATIVE
55 Summer Street, 9th Floor
Boston, MA 02110 Jenna Rodrique, CISR /JER
O 1988 -2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
' lne l,.Ui11WUUWei11Ul V1 lvi sacuuseiis
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston; MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information ' _ Please Print Legibly
Name ( Business /Organization/Individual): Ti U V;,L I I �,' - " YL;; h VG�'ynl tt'Gl,U,15 %�- i =,;1rz t; �
1
e
Address: � � 0 - fL f
City /StatelZip: Gre e �� 1 (� ,� ( Phon # : 4 1 3 .�
Are you an employer? Check the appropriate box: Type of project (required):
1. - I am an employer with 4. - I am a general contractor and I 6. - New Construction .
Employees (full and/or part- time)* have hired the sub - contractors
2. -, I am a sole proprietor or partner- listed on the attached sheet. 2 Remodeling
Ship and have no employees These sub - contractors have 8. - Demolition
Working for me in any capacity. workers' comp. insurance. 9. - Building Addition
[No workers' comp. insurance 5. -. We are a corporation and its 10. - Electrical repairs or additions
required.] officers have exercised their
3. - I am a homeowner doing all work right of exemption per MGL 11. Plumbing repairs or additions
myself. [No workers' comp. C. 152, ' 1(4), and we have no 12. - Roof repairs
insurance required.JH employees. [No workers' 13. ?C Other ; ; o.- c Q, I tN t vuvi.,
comp. insurance required.l A Niv1k - / -4-
* Any applicant that checks box #1 must also fill out the section below showing their workers compensation policy information t
H Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new : i. • it indi g such.
I Contractors that check this box mist attach an additional sheet showing the name of the sub - contractors and their workers'
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. .
Insurance Company Name: - tom t {`�i o / P1 5
r GG 0Y r, c
Policy # or Self -ins. Lic. #: U'1C, -C, S' C Expiration Date: V t / 2 )
t n e� L � b�v
Job Site Address: (-} i � ) �� r � d- City /State/Zip: � �k � , 0 i ') ;)':,
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).•
Failure to secure coverage as required under Section 25A of MGL C. 152 can lead to the imposition of criminal penalties of a fine up to
$1,500.00 and /or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a
day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for
insurance coverage verification. s '
I do hereby certify under the pa' f d pen I es of perjury that the information provided above is true and correct.
Signature: 7 t Ad d • Date: I/ 19 /,& (t,
Phone #: i-{j3 - 1 s.sg -
Official use only. Do not write in this area, to be completed by city of town official.
City or Town: Permit/License #:
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
5
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : v� `:,�� J'�1cLin cC ►f c )$
License Number
5 v ^ 1 Gre , , v,f ' Coo oi.'> i (k, l2us i 3
Address � Expiration Date
Sign urn ' Telephone
9. Registered Homee Improvement Contractor: Not Applicable ❑
V v U I�r� 4 rte DVi ZGi0 () .VOL iv - I
Company Name r Registration Number
yy�� t
j W` e � id 71�Z! - Mil C> 1 0 1 T E e i 3
Address Expiration Da
Telephone 1/3
—
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes No ❑
11. - Home Owner Exemption
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling. attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two - year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) E Roofing 0
Or Doors E
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [1] Siding [0] Other [p]
Brief Descrriip]ion, of Proposed {y
Work: 014 A ivn txr U 11,144 '�vm i t i rT v' >ti f1✓ J LM' 0/1, -7 °w i Gw C t✓!i t� G_ /.40,1t -- r1
1 „ t�
Alteration of existing bedroom Yes / 0 Adding new bedroom Yes / No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll - Sheet
6a. If New house and or addition to existing housing, complete the following:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each _
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, J,4 A L4 r , as Owner of the subject
property
hereby authorize qki.1i. , rr ; ��rz,ufi u;w, Ua i[ 1 �Lt,�;;'' 1cuv.� 6,,L�t �
_ +r
to act on my behalf, in al�'mattersl elative to w rk authorized by this iilding permit application. V
cibiq-4(.1,01q4.4 (A)
Signature of Owner • Date
I, - 6G: U i(,t, I4ML , , as =ewer /Authorized
Agent her y declar that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name ��I�O'
Signature of &4F8f /Agent � Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW +I;; YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 4.fr DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Sefic
e
` J O Department use only
e t . y of Northampton Status of Permit:
IA Bu ding Department Curb Cut/Driveway Permit
� 2 Main Street Sewer /Septic Availability
0 51° - oom 100 Water/Well Availability
�N rthampton, MA 01060 Two Sets of Structural Plans
oF� 413 - 587 - 1240 Fax 413 - 587 - 1272 Plot/Site Plans
Other Specify,
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
j
J Map Lot Unit
1.t Ll:/i``t a x {d'' Zone Overlay District
L .J / cs` 4.-tA.,u - Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of f Record: f ! ��� �+ � 1 ,{ j . ' � g i AA � 1
l.� j f. L CX CCci l � Y I F? . Yl �# i� / G �vI Y... i" JLI,GI_ l �I I'� ()1'J;� '?
Name (Print) Current Mailing Address g1
�l�" �a,�Ll'- �
L f 1�•$u / 4) Telephone
Signature
2.2 Authorized Agent:
'htli�+ )II��� 3ii v' s: fi ` -,,.4 ` 6 Cre n;.l.,�, j1114 0i3z-i
Name ( int)! Current Mailing Address:
Signature Telephone
P
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 4 - (a) Building Permit Fee
2. Electrical ` (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection �'"
6. Total= (1 +2 +3 +4 +5) ' Check Number �v . ..!
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature: _
Building Commissioner /Inspector of Buildings Date
File # BP- 2012 -0702
APPLICANT /CONTACT PERSON PIONEER VALLEY PHOTOVOLTAICS
ADDRESS/PHONE 311 WELLS ST - SUITE B GREENFIELD (413) 772 -8788
PROPERTY LOCATION 412 AUDUBON RD
MAP 05 PARCEL 064 001 ZONE RR( 100) / /WP/WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid ,//
Building Permit Filled out _ _ €, ��
Fee Paid i �1
Typeof Construction: INSTALL SUPPORT SYS FOR SOLAR PANELS , �r A /� F s� New Construction / 'L i
Non Structural interior renovations ^
Addition to Existing r �llA •/ —/' ! �C> t �
Accesso Structure «/
e1i 6 Building Plans Included: a G 1 �' 0
Owner/ Statement or License 102513
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN ION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
_ jj-m.li t Del. y _,, ep9 — — 2 — /
_ : a ' o uile mg • fficial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
412 AUDUBON RD BP- 2012 -0702
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 05 - 064 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ELECTRICAL BUILDING PERMIT
Permit # BP- 2012 -0702
Project # JS- 2012- 001131
Est. Cost: $7726.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER VALLEY PHOTOVOLTAICS 102513
Lot Size(sq. ft.): 189921.60 Owner: COHEN JOSEPH D & CATHY J
Zoning_RR(100) //WP/WSP Applicant: PIONEER VALLEY PHOTOVOLTAICS
AT: 412 AUDUBON RD
Applicant Address: Phone: Insurance:
311 WELLS ST - SUITE B (413) 772 -8788 WC
GREENFIELDMA01301 ISSUED ON:2/7/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL SUPPORT SYS FOR SOLAR PANELS -
RGH INSPECTION WHEN MOUNTING SUPPORTS 90% COMPLETE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature: _
FeeType: Date Paid: Amount:
Building 2/7/2012 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner